Individual
PENNY COURTRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
430 W IOWA AVE STE A, NAMPA, ID 83686-2826
(208) 442-1123
Mailing address
430 W IOWA AVE STE A, NAMPA, ID 83686-2826
(208) 442-1123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1919
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MASG-1919
BUREAU OF OCCUPATIONAL LICENSES
ID
Enumeration date
10/15/2015
Last updated
10/15/2015
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